13 results
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Pathologic: • Valvular ... regurgitation ... #Pulse #Pressure
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Widened Pulse Pressure ... Pulse pressure ... Pulse Pressure = ... rate of 23.3% • Wide ... #Pressure #Differential
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... Diagnosis Algorithm ... dissection • ... drop in arterial pressure ... regurgitation
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Examine for: • Pulse ... deficit/differential ... Control blood pressure ... #Dissection #diagnosis ... #management #vascular
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... warm extremities, wide ... pulse pressure ... #Diagnosis #table
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... Diagnosis Framework ... Hypotension Blood Pressure ... Volume x Peripheral Vascular ... • Aortic regurgitation
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
orthopnea/PND, wide ... pulse pressure ... highest on my differential ... ~2 glasses of wine ... AorticRegurgitation #Diagnosis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
rupture, dissection ... of ascending aorta ... ) • Puimonary vascular ... #diagnosis #management ... #criticalcare #differential
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
STEMI: - Hx: Pressure ... /V/diaphoresis Aortic ... Dissection: - ... PEX: New murmur, Pulse ... Management #Algorithm #differential
Aortic dissection on Cardiac CTA

This is a amazing gated CTA showing a real time cine clip
Aortic dissection ... A Type A dissection ... A Type B dissection ... variable blood pressures ... and can have a wide